Sampai saat ini saya masih terus berusaha memperjuangkan RUU Kesehatan Jiwa yang sudah masuk dalam Prolegnas (Program Legislasi Nasional) 2009-2014 agar masuk dalam Prioritas segera. Jika bisa masuk dalam Prioritas 2011, kenapa tidak? Kebetulan 10 Oktober adalah Hari Kesehatan Jiwa Sedunia dan saya berencana untuk mengadakan seminar Fraksi Partai Demokrat Komisi IX DPR RI pada tanggal 11 Oktober 2010 dengan tema Urgensi Legislasi Kesehatan Jiwa.
Berbagai kalangan akan diminta untuk hadir sebagai narasumber dan partisipan aktif, terutama anggota DPR RI lintas fraksi Komisi IX, psikiater, psikolog, perawat, kementerian kesehatan, pekerja sosial, aktivis LSM terkait kesehatan jiwa, Komnas HAM, Komnas Anak, praktisi hukum, konsumen jiwa sehat (pasien), Kaukus Perempuan Parlemen Republik Indonesia, wartawan peduli/tidak peduli kesehatan jiwa, dan lain-lain. Seminar ini menjadi salah satu langkah awal dari upaya sosialisasi urgensi legislasi RUU Kesehatan Jiwa. Ada begitu banyak materi terkait kesehatan jiwa yang belum bisa saya upload ke dalam blog saya ini, tetapi kelak sesudah seminar maka materi seminar akan saya upayakan masuk dalam blog ini agar teman-teman yang tidak dapat hadir tetap dapat memahami seluk-beluk maksud dan perjuangan menuju legislasi Kesehatan Jiwa.
Dalam perjalanan beasiswa EUVP (European Union Visitors Programme) pada bulan Juli 2010, saya sempat berdialog dengan sebuah LSM bernama Mental Health Europe di Brussels dan mereka menjelaskan kesulitan untuk menumbuhkan perlunya legislasi kesehatan jiwa di kalangan Uni Eropa. Di Uni Eropa pun sistem penanganan pasien gangguan jiwa masih bersifat beragam, seperti di Italia yang sudah tidak lagi menangani dengan berasaskan hospital-based tetapi community-based. Pendekatan ini termasuk pendekatan yang saya rasa baik dan memberikan kesempatan pasien agar bisa berinteraksi dengan lebih banyak kalangan masyarakat umum dan tidak hanya terbatas dengan sesama pasien di Rumah Sakit Jiwa atau bangsal psikiatri.
Berikut substansi EUROPEAN PACT FOR MENTAL HEALTH AND WELL-BEING dari hasil EU HIGH-LEVEL CONFERENCE: TOGETHER FOR MENTAL HEALTH AND WELL-BEING yang diselenggarakan di Brussels, 12-13 Juni 2008.
For MENTAL HEALTH and WELL-BEING
We, participants in the EU high-level conference TOGETHER FOR MENTAL HEALTH AND WELL-BEING, Brussels, 13 June 2008, acknowledge the importance and relevance of mental health and well-being for the European Union, its member states, stakeholders and citizens.
I – WE RECOGNISE THAT
© Mental health is a human right. It enables citizens to enjoy well-being, quality of life and health. It promotes learning, working and participation in society.
© The level of mental health and well-being in the population is a key resource for the success of the EU as a knowledge-based society and economy. It is an important factor for the realization of the objectives of the Lisbon strategy, on growth and jobs, social cohesion and sustainable development.
© Mental disorders are on the rise in the EU today, almost 50 million citizens (about 11 % of the population) are estimated to experience mental disorders, with women and men developing and exhibiting different symptoms. Depression is already the most prevalent health problem in many EU-Member States.
© Suicide remains a major cause of death. In the EU, there are about 58,000 suicides per year of which ¾ are committed by men. Eight Member States are amongst the fifteen countries with the highest male suicide rates in the world.
© Mental disorders and suicide cause immense suffering for individuals, families and communities, mental disorders are major cause of disability. They put pressure on health, educational, economic, labour market and social welfare systems across the EU.
© Complementary action and a combined effort at EU-level can help Member States tackle these challenges by promoting good mental health and well-being in the population, strengthening preventive action and self-help, and providing support to people who experience mental health problems and their families, further to the measures which Member States undertake through health and social services and medical care.
II – WE AGREE THAT
© There is a need for a decisive political step to make mental health and well-being a key priority.
© Action for mental health and well-being at EU-level needs to be developed by involving the relevant policy makers and stakeholders, including those from the health, education, social and justice sectors, social partners, as well as civil society organisations.
© People who have experienced mental health problems have valuable expertise and need to play an active role in planning and implementing actions.
© The mental health and well-being of citizens and groups, including all age groups, different genders, ethnic origins and socio-economic groups, needs to be promoted based on targeted interventions that take into account and are sensitive to the diversity of the European population.
© There is a need to improve the knowledge base on mental health: by collecting data on the state of mental helath in the population and by commissioning research into the epidemiology, causes, determinants and implications of mental health and ill-health, and the possibilities for interventions and best practices in and outside the health and social sectors.
III – WE CALL FOR ACTION IN FIVE PRIORITY AREAS
I. PREVENTION OF DEPRESSION AND SUICIDE
Depression is one of the most common and serious mental disorders and a leading risk factor for suicidal behavior. Every 9 minute a citizen dies as a consequence of suicide in the EU. The number of suicde attempts is estimated to be ten times higher. Reported rates of suicide in Member States differ by a factor 12.
Policy makers and stakeholders are invited to take action on the prevention of suicde and depression including the following:
© Improve the training of health professionals and key actors within the social sector on mental health;
© Restrict access to potential means for suicide;
© Take measures to raise mental health awareness in the general public, among health professionals and other relevant sectors;
© Take measures to reduce risk factors for suicide such as excessive drinking, drug abuse and social exclusion, depression and stress;
© Provide support mechanisms after suicide attempts and for those bereaved by suicide, such as emotional support helplines.
II. MENTAL HEALTH IN YOUTH AND EDUCATION
The foundation of life-long mental health is laid in the early years. Up to 50% of mental disorders have their onset during adolescence. Mental health problems can be identified in between 10% and 20% of young people, with higher rates among disadvantaged population groups.
Policy makers and stakeholders are invited to take action on mental helath in youth and education including the following:
© Ensure schemes for early intervention throughout the educational system;
© Provide programmes to promote parenting skills;
© Promote training of professionals involved in the health, education, youth and other relevant sectors in mental health and well-being.
© Promote the integration of socio-emotional learning into the curricular and extracurricular activities and the cultures of pre-schools and schools;
© Programmes to prevent abuse, bullying, violence against young people and their exposure to social exclusion;
© Promote the participation of young people in education, culture, sport and employment.
III. MENTAL HEALTH IN WORKPLACE SETTING
Employment is beneficial to physical and mental health. The mental health and well-being of the workforce is a key to resource for productivity and innovation in the EU. The pace and nature of work is changing, leading to pressures on mental health and well-being. Action is needed to tackle the steady increase in work absenteeism and incapacity, and to utilize the unused potential for improving productivity that is linked to stress and mental disorders. The workplace plays a central role in the social inclusion of people with mental health problems.
Policy makers, social partners and further stakeholders are invited to take action on mental health at the workplace including the following:
© Improve work organisation, organisational cultures and leadership practices to promote mental well-being at work, including the reconciliation of work and family life;
© Implement mental health and well-being programmes with risk assessment and prevention programmes for situations that can cause adverse effects on the mental health of workers (stress, abusive behavior such as violence or harassment at work, alcohol, drugs) and early intervention schemes at workplaces;
© Provide measures to support the recruitment, retention or rehabilitation and return to work or people with mental health problems or disorders.
IV. MENTAL HEALTH OF OLDER PEOPLE
The EU-population is ageing. Old age can bring with it certain risk factors for mental health and well-being, such as the loss of social support from families and friends and the emergence of physical or neurodegenerative illness, such as Alzheimer’s disease and other forms of dementia. Suicide rates are high in older people. Promoting healthy and active ageing is one of the EU’s key policy objectives.
Policy makers and stakeholders are invited to take action on mental health of older people including the following:
© Promote the active participation of older people in community life, including the promotion of their physical activity and educational opportunities;
© Develop flexible retirement schemes which allow older people to remain at work longer on a full-time or part-time basis;
© Provide measures to promote mental health and well-being among older people to remain at work longer on a full-time or part-time basis;
© Take measures to support carers.
V. COMBATING STIGMA AND SOCIAL EXCLUSION
Stigma and social exclusion are both risk factors and consequences of mental disorders, which may create major barriers to help-seeking and recovery.
Policy makers and stakeholders are invited to take action to combat stigma and social exclusion including the following:
© Support anti-stigma campaign and activities such as in media, schools and at the workplace to promote the integration of people with mental health disorders;
© Develop mental health services which are well integrated in the society, put the individual at the centre and operate in a way which avoids stigmatisation and exclusion;
© Promote active inclusion of people with mental health problems in society, including improvement of their access to appropriate employment, training and educational opportunities;
© Involve people with mental health problems and their families and carers in relevant policy and decision making processes.
IV – WE LAUNCH THE EUROPEAN PACT FOR MENTAL HEALTH AND WELL-BEING
The pact recognises that primary responsibility for action in this area rests with Member States. However, the Pact builds on the EU’s potential to inform, promote best practice and encourage actions by Member States and stakeholders and help address common challenges and tackle health inequalities.
The reference context for the Pact is the EU-policy acquires on mental health and well-being that has emerged through initiatives across Community policies over the past years, together with the commitments which Member States’ Ministers of Health made under the WHO Mental Health Declaration for Europe of 2005 and relevant international acts such as the United Nations Convention on the Rights of Persons with Disabilities.
The Pact brings together European institutions, Member States, stakeholders from relevant sectors, including people at risk of exclusion for mental health reasons, and the research community to support and promote mental health and well-being. It is a reflection of their commitment to a longer-term process of exchange, cooperation and coordination on key challenges.
The Pact should facilitate the monitoring of trends and activities in Member States and among stakeholders. Based on European best practice, it should help deliver recommendations for action for progress in addressing its priority themes.
V – WE THEREFORE INVITE
© Member States together with further relevant actors across sectors and civil society in the EU and international organisations to join the European Pact for Mental Health and Well-being and to contribute to its implementation;
© The European Commission and Member States, together with the relevant international organisations and stakeholders.
o to establish a mechanism for the exchange of information;
o to work together to identify good practices and success factors in policy and stakeholder action for addressing the priority themes of the Pact, and to develop appropriate recommendations and action plans;
o to communicate the results of such work through a series of conferences on the Pact’s priority themes over the coming years;
© The European Commission to issue a proposal for a Council Reccomendation on Mental Health and Well-being during 2009;
© The Presidency to inform the European Parliament and the Council of Ministers as well as the European Economic and Social Committee and the Committee of Regions of the proceedings and outcomes of this conference.